MyLivingChoice

Best Home Care in St Louis, Missouri

42 agencies found

MyLivingChoice lists 42 home care agencies in St. Louis. Families rate them 4.4 out of 5 on average, across 1,673 public reviews.

  • 42agencies
  • 4.4average rating, 33 rated
  • 1,673family reviews read
Two kinds of agency bring care to the house. Home care is ongoing help with bathing, meals, medications and companionship, billed hourly, no referral needed. Medicare home health is doctor-ordered nursing or therapy, usually after a hospital stay, and Medicare pays for it. Each listing is labeled, and you can narrow to one kind above. How home care compares to assisted living →

Best-rated home care in St. Louis

Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.

  1. 1

    Emerest Health Of Missouri

    4.9 (724 reviews)· At-Home Care

    Emerest Health Of Missouri offers home health and hospice services, including a Consumer Directed Services (CDS) program that pays family members to care for their loved ones. Reviewers, who appear to mostly be…

  2. 2

    Assistance Home Care

    4.9 (141 reviews)· At-Home Care

    Families describe Assistance Home Care as attentive, well-trained, and responsive when concerns come up, with several reviewers praising the caregivers' compassion and communication. The company serves the St. Louis and…

  3. 3

    1st Choice Home Health Care, LLC

    4.9 (93 reviews)· Home Health

    Families and staff describe 1st Choice Home Health Care as a small, family-run agency in St. Louis known for personal attention and long-term client relationships. Reviewers consistently praise the compassionate,…

  4. 4

    Visiting Angels Webster Groves

    5 (29 reviews)· At-Home Care

    Families describe Visiting Angels Webster Groves as attentive, dependable in-home care, with reviewers repeatedly praising individual aides and office staff by name for compassion and responsiveness. Reviews are…

  5. 5

    LB Home Health Caregivers

    5 (29 reviews)· At-Home Care, Home Health

    Families describe LB Home Health Caregivers as a reliable, responsive in-home care service, especially praised for matching caregivers to clients with dementia and Alzheimer's needs. Reviewers consistently mention easy…

  6. 6

    Gentle Hands Home Care

    4.9 (54 reviews)· At-Home Care

    Reviewers describe Gentle Hands Home Care as a compassionate, family-like in-home care agency in St. Louis, with many clients and employees praising the owner's hands-on involvement and the staff's responsiveness. A…

  7. 7

    Accessible Home Health Care

    5 (23 reviews)· Home Health

    Families describe Accessible Home Health Care as a responsive, compassionate home care agency in St. Louis, praising owner Andy Schenck's hands-on involvement and quick turnaround in arranging caregivers during stressful…

  8. 8

    Cater to Your Needs Home Health Care, LLC

    4.9 (32 reviews)· Home Health

    Reviewers consistently praise this home health care agency for compassionate, skilled caregivers who kept families closely informed while caring for elderly or disabled loved ones at home. Multiple families switched from…

  9. 9

    Seniors Home Care

    4.8 (46 reviews)· At-Home Care

    Families of Seniors Home Care consistently praise the compassion, reliability, and professionalism of individual caregivers, especially those working with dementia or complex medical needs. Reviewers highlight responsive…

  10. 10

    Angel's Touch Home Healthcare

    4.9 (23 reviews)· Home Health

    Families describe Angel's Touch Home Healthcare as a highly professional and caring home health and hospice provider in St. Louis, with reviewers repeatedly praising the staff's attentiveness and the agency's willingness…

What families say about home care in St. Louis

Counted across the review summaries of 42 St. Louis communities: the share whose families mention each theme.

Praised most

  • Caring, attentive staff 83%
  • Communication with families 50%
  • Medical and nursing care 31%
  • Management 26%
  • Activities and social life 24%

Concerns raised

  • Cost and billing 55%
  • Communication with families 50%
  • Staff attitude 29%
  • Staffing levels and turnover 7%

“Josh and Family Love Care have been an absolute blessing. I was at retirement age anyway but literally had to quit my job to care for Kay. I couldn't have hoped for anyone more caring and considerate than Josh when we needed help he was heaven sent. Thank you Josh, and FLC.”

“The hands on experience from their owner is unbelievable never have I seen such compassion and caring from THE OWNER! Great company !”

“Gentle Hands LLC A great opportunity for you and your family to trust someone or yourself to take care of your Love ones. A great company to work with for HomeHealthCare.”

Home Care in St. Louis: the figures

  • •Most common amenities: medication management (15), 24-hour staff (14), emergency call system (12), housekeeping (7), laundry service (6), transportation services (4).

Home Care near St. Louis

Cities within about 35 miles with senior living inventory, and how families rate it.

CityCommunitiesRating
Creve Coeur6.4 mi103.9 / 5
Maryland Heights8.7 mi53.2 / 5
Town and Country9.4 mi54 / 5
Ballwin9.6 mi104.3 / 5
Bridgeton10.2 mi214 / 5
Chesterfield10.6 mi184 / 5
Ellisville12.7 mi134.6 / 5
Florissant13.2 mi363.9 / 5

All of Missouri: Home Care in Missouri. Closer to home? Compare home care near you, sorted by distance.

About these figures

Computed on October 23, 2026 from the 42 agencies listed in St. Louis, 1,673 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change.

Reading on this

Guides from MyLivingChoice that families in St Louis ask about.

Not in St Louis? Home care near me finds communities around wherever you are.

Home Care in St Louis: Common Questions

How many home care agencies are in St Louis, Missouri?

MyLivingChoice lists 42 home care agencies in St Louis, Missouri, each with photos, care details, and reviews from families.

Which home care agencies in St Louis are rated highest?

Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include Visiting Angels Webster Groves (5★, 29 ratings), LB Home Health Caregivers (5★, 29 ratings), Accessible Home Health Care (5★, 23 ratings).

What types of senior care are available in St Louis?

Beyond home care, St Louis has assisted living (51 communities), skilled nursing / long term care (44 communities), home health (29 communities), independent living (24 communities), memory care (21 communities). Every option is listed with photos, reviews, and contact details.

How do families rate home care in St Louis?

Families rate St Louis home care agencies 4.4 out of 5 on average, across 1,673 public Google reviews of local communities.

What do families praise, and complain about, in St Louis home care agencies?

Across the review summaries of 42 St Louis agencies, the most common praise is caring, attentive staff (mentioned for 83%), communication with families (mentioned for 50%), medical and nursing care (mentioned for 31%). The most common concerns are cost and billing (55%), communication with families (50%), staff attitude (29%).